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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SADA KATHRYN PUCKETT, LPCC, LADC

Active

SADA KATHRYN PUCKETT, LPCC, LADC is a Mental Health Counselor healthcare provider located in PLYMOUTH, Minnesota. NPI 1104497973 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · PLYMOUTH, MN

Registration Details

NPI Number
1104497973
Provider Type
Individual
Gender
Female
NPI Issued
Jul 2, 2021 (5.0902312516029 yrs)
Last Updated
Apr 8, 2022
Licenses
304393 (MN)
02663 (MN)

Practice Information

Address
2415 ANNAPOLIS LN N STE 130
PLYMOUTH, MN, 554413632
Browse MN providers · Browse ZIP 55441
Phone
7632200218
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in PLYMOUTH, MN

Name Credential NPI
KATHRYNE E SLAVICS M.A. 1932282506
LAURIS J PRINSEN L.A.D.C. 1033281175
KATHLEEN PAIGE GULLO 1982776555
KIRA LEIGH HILDEN 1699847574
MS. MELISSA ANN BOLLINGER-KINNEY M.S.ED LPC 1114074028
MRS. ROBERTA G. LARSON L.I.C.S.W. 1952440489
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.